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HomeMy WebLinkAboutPermit Signage 2006-8-2 ~ , - '. SPRINGFIELD u....::..r-:ti'ILl<.\."':} ~ .~. ~.,: .f:... <i'G -..&1--""-jj;. ". ..... ,j ,"'-', ,\ ,"~.~j l.~ ........r.i.'&it'j~,-_.~,.:..~<;;". ,Af:t.,~;.;' . (~:.tt~:~ '~,,'-_. ..'o{;,'....~~,....;::."'~>,./' ~. ..k~"".J . .t; -.,-..U .~~ ~'t;S W'..,i'l ,'~ "'- ' 225 F1ITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726<H53 . FAX: (541)726-3689 ~:'" /I "".-.r-.6- 0096/ 0; City Job Number LUV'1 c...>-A-' '. .~~, ' ..)\0 ..~~ Job Location 5.;l 5/ 1Ylf1;,iwes:f/IM\\\'J,S.LI 0/1. ~ J r7€Q"'..ll,\a;:,~~;Vl~se\\~~\,' J"~ ...."",4~ Assessors Man _~' C' _~Xl'l-> .,,?,,:;,> ~ o.S~' '",' ~ . ~~\ ,~. 60'\?'- OS" ' Ot"" 'JW" -, ,--l Owner 1'>\\ 1'J\es'cl: \\Wl. \'(\~\o'JQ~ 0\ \~e \ :l\Olle r::/?J.'" \o\\O~ . 0\\ c~~ .<.:lC\\\) 09\eyp;;;s > \e\e9 \\o{\ " ... ca.\\ .j" (~::'Ja.~'<I s, . ,. ,:t,<"a. aQ; Owner of Prop em: - ^<<t., {(I . Ut:7'\'}... u.)'0 c:;:,) , Or"" '0((\<>1 ,,(." \J,,'''I~c.C.)' .. :~:.::~ dd C" ~~"",'),/().i~f'>>Sel\ 00~0~.~~~,?: ~ A ress .;u" ,,>' ,,1/,n-tl/1 ,e ,:rc<:\v 1~ vV. Xle\ 'v' \el \S ' : . 1 ,-dJ(\I cell ~ City . f).,j.A. - 1; ~) ~> .,,~; 6; ~~ ~' ~--::l. . ...- ~ ,...- ~ ._- . ~ U II ~.. -.. ....._.1. F1: h._t ~l ~ f" I, p, ~j ~J:)) .... '..---'1 ~ Ci)) ..___=li ,~~j l,,;'.;.,)~ , j k~ ~ ~l ---- ~; ~j ~~ 9: cz:jJ ~< ~\ . Tax Lot Phonp . Statp !");(.. Omtractorllltswller. ContractN 10/ /J/I)f7jL ,.. ,.I['\\'I'f.- t \I' \"~ 0\ .,. ~~', , \. t'j.\,I\'I \>!III \'0 ~ ^, ,\1\\:. _,,'~ <;I;\f>..\.: _ ~Ll\C; jlt\'l _ rl}l1onp ';fl\S Y\:.<'ll~\J \.I\,\\J\:.<' ~~f>..~\J\)Nt:V ' ,\I\I;\O\'l.,~(.(\ 0\'1 IS "tatp C01>/l"'\t:,,-~\~ jlt.\'\\VV. . " ,'liI' 01 Construction Contractors Llcense;#X. , Addrf'<< City Description ,5on'//JJt::X ,-5l'JA-ilVn IJR/J/J Ell!!..... Date ofInstallation 8-,:( - ~~. Date of RemoYf t 911./76' 072.0 { ,5''11- "tiI~- qd~ Zip t} 7'77,9 Zip Expire< 8- 3/ -.00 .'.. ' Banner Permit Fee $45,00 + Required Deposit $100,00 + 10% Administrative Fee By signature, 1 state and agree that I have carefully completed this application and hereby certify that all infonnation herein is true and correct. I further agree and understand that the above described banner(s) andlor portable sign(s) is not larger than 60 square feet, and will be removed within 30 days from the date listed above. If the banner(s) andlor portable sign is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand that this special pennit can be issued only twice per calendar year per development area. I also agree to call the inspection line at 726-3769 by the end of the 30th day to request an inspection to verify the removal of the banner(s) andlor portable sign(s), This inspection will begin the process to return the $100.00 deposit if the banner(s) andlor portable sign(s) has been removed. Signaturf' ~ < d("iL '.M) Dat.. ~ kt.. ~L ~ . rfI - -....r:'7 e-----L, '/ ~ Date of Application 7,h1 lob , ~ For Office Use lob # c..b - 00 9bf Issued By Amount Collected Receipt # ) 5'5 E:- Shared Drive (T:)lBuilding FormslBanner_Ponable Sign Pennit CSD g-OS.doc . . CITY VI' I)rtUl'lt.NI!,LV Building/Combination Permit PERMIT NO: COM2006-00961 ISSUED: 07/31/2006 APPLIED: 07/31/2006 EXPIRES: 08/31/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5251 MAIN ST ASSESSOR'S PARCEL NO.: 1702333107201 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner - Install 080206 removal date 083106 for Umpqua bank Commercial Owner: UMPQUA BANK Address: PO BOX 1820 ROSEBURG OR 97470 I CONTRACTOR INFORMATION I Contractor Type Sign Cootractor OWNER License Expiration Date Phone BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkl~ Building: ....d';- ~'tV.,",'1' Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a 'i:.'J..\,\+'DEVEIJOPMENT INFORMATION I (' .' 'XI ",-'- tI\S \ - <.1,) ~V' . i.\ ,\\J'" ~ \\\ ':J 'i:.\\ '\. 1,)\J't'<\.. Front yard Setb~ck:' 1'\:.'0~'i:.1,) 1jV\1,) \s r>."r>.'t'< Overlay Dist: Side 1 Setback: \ \~~\\CI'i\\ 'i:.1,) CI'i\ CI'0. # Street Trees Rqd: Side 2 Setback: ~ ~\\~'i:.~\<,~ \,'i..\\\ Paved Drive Rqd: Rearyard Setback:,CI I"~ \ I,ll \)" % of Lot Coverage: Solar Setbacks: ;,i" REQUIRED PARKING Notes: Total: .,- ~ '1(Handicapped: . e--;;l .\"\.". .A'(. 0'~ ~Compact: ~e<S. e'0o "'e.... ~'\' 0'" \'O-~ 'is'e 0\ 'If.-e g<;,'I:<:J '" '0'1 ~<eg , '0'1 . ,0\e f'\'r<0 ,,s.e.,, I PUBLIC IMPROVEMEN:rS I': :oo~""" ,\,,0~~00~~ 0' ~~e~"v~,o'" , v \e~' ()~. ^,e e"< .",c, -<\v .,\'0' G~0.S'd~~ IkT'\" ~ _'0" 'r' :-II ~V" I ewa.'ype:. ,~ o~o ~o'" ()()y- ~\'O-". \,;:\0'- \'''~'1 'OD.~' ~ ..,,~,c,'il' ,,<;,'1: Downspouts/D~ains:'); _'0' 0'" ~<>' "", q,v ~;)V \~ Ot>' -.J.00 e C,e Ole a.()()- \'" ~. ~ 'is'e v" ()()g \\\"''0 ,o~ \\'" c,"" ~e\ ",\e ^0~ Ge Street Improvements: Storm Sewer Available: Special Instruction: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!e 1 of2 . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-0096I ISSUED: 07/31/2006 APPLIED: 07/31/2006 EXPIRES: 08/31/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P3W $14.50 $45.00 $100,00 7/31/06 7/31/06 7/31/06 Receipt Number 1200600000000001163 1200600000000001163 1200600000000001163 Fee Description + 10% Administrative Fee Banner Special Permit Deposit Amount Paid Date Paid Total Amount Paid $159.50 I Plan Reviews , To Request an inspection call the 24 hour recording at 726-3769, All inspection requested before 7:00 a,m, will be made the same working day, inspections requested after 7:00 a,m, will be made the following work day. ~lIired InsnectionsJ Sign Final: After all required inspections are conducted and approved and the sign installation is completed. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. r ~-_~~~~ 7~ J/~06 Owner or Contractor~ Signature Date P'ee 2 of2 225 Fifth Street. SpringfieM; Or~gon 97477 541-726-3759 Phone . Job/Journal Number COM2006-0096I COM2006-0096I COM2006-00961 Payments: Type of Payment Check cRccciol1 RECEIPT #: Description + 10% Administrative Fee Deposit Banner Special Permit Paid By UMPQUA BANK ........~._~.!!.llI,I!.. lAt. .. . . - " ,..' . IiJiiy of Springfield Official Receipt Wvelopment Services Department Public Works Department 1200600000000001163 Date: 07/31/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 144196 In Person Payment Total: Page 1 of I 11:17:43AM Amount Due 14.50 100.00 45.00 $159.50 Amount Paid $159.50 $159.50 7/31/2006